ROC 103c — ROC-ON (ROC PRIMED Refresher)

ROC 103c — ROC-ON (ROC PRIMED Refresher)

Exclusion Criteria

Exclusion criteria are the criteria you will use to exclude a patient from the ROC PRIMED Trial. These include:

Do not resuscitate (DNR) orders
Blunt or penetrating trauma*
Burns
Obvious death (and no resuscitation attempted)
Known prisoners
Known or suspected pregnancy

*Strangulation, electrocution and submersion are not exclusion criteria.

Exclude patients from Analyze Early and Analyze Late if:

EMS witnesses the arrest (shock immediately)
Rhythm analyzed by a non-EMS provider (e.g., law enforcement, layperson, etc.)
Non-ROC unit is at scene and has started CPR or attached a defibrillator**

**A non-ROC unit is an EMS or fire agency that is not participating the ROC PRIMED Trial.

DO NOT use an ITD if:

Patient has a tracheostomy
Mechanical CPR device is used

+ View elaboration — Examples

Patient 1

32-year-old male
Gunshot wound to head
Unconscious and unresponsive
No pulse
ROC EMS providers started CPR on arrival

This patient would be excluded due to arrest caused by traumatic injury.

Patient 2

88-year-old female
Found at home in bed unconscious and unresponsive
No pulse
ROC EMS providers started CPR on arrival

This patient would be included in the trial because she meets the inclusion criteria and none of the exclusion criteria are present.

+ View elaboration — Important Information for King County EMS Personnel ONLY

King County EMS personnel should enroll ALL cardiac arrest patients except those meeting the exclusion criteria. Your focus will be on exclusion criteria, not inclusion criteria. Exclusion criteria include:

Traumatic cardiac arrest
Patient less than 18 years of age
DNR orders in place
Known or suspected pregnancy
Known prisoner (in custody)

Exclude patients from Analyze Early and Analyze Late if:

EMS witnesses the arrest (shock immediately)
AED applied by a non-ROC agency (lay person, police, private AMB*)

*A non-ROC unit is an EMS or fire agency that is not participating the ROC PRIMED Trial.

DO NOT use an ITD if:

Patient has a tracheostomy